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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153810198
Report Date: 09/13/2024
Date Signed: 09/13/2024 02:34:17 PM

Document Has Been Signed on 09/13/2024 02:34 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:LEARNING EXPERIENCE, THEFACILITY NUMBER:
153810198
ADMINISTRATOR/
DIRECTOR:		AMANDA FLORESFACILITY TYPE:
830
ADDRESS:2800 CALLOWAY DRTELEPHONE:
(661) 679-6024
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 21DATE:
09/13/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:20 AM
MET WITH:Amanda FloresTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 09/13/2024, Licensing Program Analyst (LPA), Christopher Burnias met with Director Amanda Flores for an unannounced Case Management incident inspection. LPA toured the facility, and a census was taken. The purpose of today's inspection was to address an unusual incident reported to the Fresno Community Care Licensing (CCL) office.

LPA interviewed Staff 1 (S1) who was present during the incident. According to S1, on 08/21/24 in Infant B room, S1 noticed that Child 1 (C1) had limited movement of their left arm. S1 stated that C1 was observed not putting weight on their left arm while crawling. S1 also stated they noticed that when C1 reached out to be picked up, that C1 was only able to fully extend their right arm and their left arm did not fully extend. S1 notified administrative staff that they suspected C1's left arm was hurt and staff personnel were able to assess C1. Staff personnel noticed that C1 was able to lift their left arm to a certain point and then begin to cry.

S1 stated that they observed C1 throughout the day and that C1 was fussy most of the day. S1 stated that they did not observe the child fall, or become injured at any point during the day. Staff personnel contacted C1's parent and C1 was picked up from the facility.

According to S1, C1's parent contacted the facility and stated that C1 went to urgent care, had X-rays done that showed C1 had a fractured left elbow. According to S1, C1's parent said they were not able to identify the cause of the injury.

Based on observation of the facility, LPA determined that no hazards were present in Infant B room and that proper supervision was provided.

**Continued on LIC 809C**
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Christopher Burnias
LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: LEARNING EXPERIENCE, THE
FACILITY NUMBER: 153810198
VISIT DATE: 09/13/2024
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Based on the information obtained by interview, LPA determined that the facility took appropriate measures to assess the child's injury, and reporting requirements were met. Facility followed proper policies and procedures and no regulations were violated.

Per California Code of Regulations Title 22, Division 12, Chapter 1, no deficiency is cited during today's visit. An exit interview was conducted with Director Amanda Flores, and appeal rights were provided.
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Christopher Burnias
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2024
LIC809 (FAS) - (06/04)
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